National Provider Identifier Database

TIMOTHY J SAMOLITIS, CRNA – NPI #1588651566
Nurse Anesthetist, Certified Registered

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.


Contact Information

TIMOTHY J SAMOLITIS, CRNA
8600 N. STATE ROUTE 91
SUITE 250
PEORIA, IL61615
Phone: 309-692-5394
Fax: 309-692-2538
Website:
Specialty Taxonomy Code
* Nurse Anesthetist, Certified Registered 367500000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY J SAMOLITIS

NPI Number 1588651566
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 10/04/2005
Last updated 06/13/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 209005907
  • MD License #: R143228
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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